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Pedo II > Final > Flashcards

Final Flashcards

1
Q

What form of pulp testing is reliable in primary teeth?

A

Percussion

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2
Q

What x-rays are used for pulp therapy post-operative assessment?

A
  • BWs every 6 months, if interraducular area can be seen.
  • PA’s or Occlusal’s if you can’t see the furcation area
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3
Q

What x-rays are used for pulpotomy post-operative assessment?

A

At least annually

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4
Q

What x-rays are used for pulpectomy assessment?

A

PA immediately

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5
Q

How often are x-rays used for assessment of immature permanent teeth?

A

6-12 months after treatment and then at clinician discretion

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6
Q

If there is a pinpoint exposure in primary dentition we have to do what tx?

A

Pulpotomy

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7
Q

What is used in a pulpotomy after you remove the pulp chamber and stop the bleeding?

A

Ferric Sulfate (coagulant) or FMC

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8
Q

What is the application time for placing FMC (fixative)?

A

4 min

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9
Q

What is the application time for placing Ferric Sulfate (coagulant)?

A

15 seconds

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10
Q

What is the application time for placing Sodium hypochlorite (anti-bacterial)?

A

15 seconds

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11
Q

Is Indirect pulp treatment (IPT) or pulpotomy better to do on primary teeth?

A

IPT

  • Remove all the decay from walls and leave decay below
  • Place material to make infected dentin into reparative (secondary) dentin
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12
Q

What RO liner is used in IPT?

A

GIC

will stop the progression of caries because of seal

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13
Q

What procedure is performed when there is an exposure of pulp from trauma or iatrogenic mistake, in primary dentition?

A

Direct Pulp Capping (DPC)

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14
Q

What procedure is performed when there is an exposure of pulp fromdecay removal in permanent dentition?

A

DPC

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15
Q

What is the DPC material of choice for permanent and primary dentition?

A

Mineral Trioxide Aggregate (MTA)

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16
Q

When is Ca(OH) okay to be used?

A

In permanent dentition if doing a pulpotomy

Not recommended in primary dentition with carious exposure because it could lead to necrosis

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17
Q

What pulpotomy material is equal to or better than FMC or FS, and the preferred agent in the future?

A

MTA

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18
Q

Removing portion of the pulp (chamber)

A

Pulpotomy

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19
Q

Removing pulp chamber and root canal system

A

Pulpectomy

20
Q

What material can be used in a pulpotomy but not a pulpectomy?

A

IRM, because it doesn’t resorb

21
Q

What are acceptable materials for pulpectomy and root filling in primary dentition?

A
  • Calcium Hydroxide (Vitapex)
  • ZOE
  • Iodoform Paste (KRI)
  • Must be resorbable
22
Q

What are contraindications of a pulpectomy in primary dentition?

A
  • Tooth not restorable
  • Advanced internal or external resoprtion
  • < 2/3s of the primary root structure remaining
  • Periapical infection involving the crypt of the succedaneous tooth
23
Q

Why apexogenesis?

A

IPT - Continue the formation of the root with a vital pulp

24
Q

In the vital pulp therapy (IPT) of young permanent dentition what is the most common material?

A

Ca(OH)2

25
Q

In the vital pulp therapy (DPC) of young permanent dentition what is the most common material?

A

MTA

26
Q

What is the objective of pulpal revascularization?

A
  • Apical portion of the pulp is still vital
  • Encourage this vital tissue to migrate coronally
27
Q

What is in the triple antibiotic paste used in pulpal revascularization?

A
  1. Ciprofloxacin
  2. Metronidazole
  3. Minocyclin/cefaclor
28
Q

What is a childs way of understanding from birth to 2 years old?

A

Sensorimotor - direct sensations

29
Q

What is a childs way of understanding from age 2-6 years?

A

Preoperational - own perceptions

30
Q

What is a childs way of understanding from 6-11 years?

A

Concrete operations - reason using stable rule system

31
Q

What is a childs way of understanding at age 12 or older?

A

Formal operations - abstract though, can reason about ideas

32
Q

What are the common fear ages?

A
  • 1-2 years
  • 3-4 years
  • 5 years
  • 6-8 years
33
Q

Most frequent child coping behavior

A

distraction

34
Q

What is the most important contributor to perception of fear?

A

Child’s perception of the dentist

35
Q

What are the 3 basic behavior guidance techniques?

A
  • Communicative
    • Distraction
    • Tell-Show-Do
    • Non-verbal
    • Positive Reinforcement
    • Voice Control
  • Parental Presence/Absence
  • Nitrous Oxide
36
Q

What are the 3 advanced behavior guidance techniques?

A
  • Protective Stabilization
  • Sedation
  • General Anesthesia
37
Q

At what age is contingent distraction“you can watch the videogame as long as you are cooperative”, most effective in?

A

3-9 years old

38
Q

What is a contraindication to Nitrous Oxide?

A

Chronic obstructive pulmonary disease

39
Q

When should you get a medical consultation with nitrous oxide?

A
  • Acute Oitis Media
  • Severe Asthma
  • Sickle Cell Disease - has been shown to cause neuropathy
  • Bleomycin slfate therapy (anti-neoplastic antibiotic)
    • oxygen admin can lead to interstitial pneumonitis which can be fatal
40
Q

Titrate nitrous oxide to maximum of …

A

50%

41
Q

What do you document with the admin of nitrous oxide?

A
  • % of NO used
  • Duration of procedure
  • Post-tx oxygenation
  • Pt response to nitrous
42
Q

What must be documented with advanced behaviour guidance?

A
  • Consent
  • Type of stabilization used and why
  • Length of time stabilization used for patient
  • Effectiveness of stabilization
43
Q

What is the photochemical use of a laser in perio and endo?

A

Canal decontamination

  • breaking chemical bonds, can produce a singlet oxygen radical for disinfection of periodontal pockets and endodontic canals
44
Q

What is the significance of Fluoresce of a laser?

A

Diagnodent - to check remineralization - NOT TO TREAT

Early diagnose 500 microns demineralization

45
Q

Laser energy in hard dental tissues can produce a shock wave, process called?

A

spallation

46
Q

What is the desirable effect of lasers on tissue?

A

Absorption

Pedo II (3 decks)

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